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SUJAL DESAI
NPI 1902647704
Student in an Organized Health Care Education/Training Program in Albany, GA

Active since June 05, 2024PECOS Enrolled
2336 DAWSON RD STE 2200, ALBANY, GA 31707(229) 312-8671 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sujal Desai NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJAL DESAI (NPI 1902647704) is an individual student in an organized health care education/training program in Albany, Georgia, licensed in Georgia (16013) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902647704
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSUJAL DESAI
Location Address2336 DAWSON RD STE 2200Albany, GA 31707-2801
Mailing Address2336 Dawson Rd Ste 2200Albany, GA 31707-2801 · (229) 312-8671
Phone(229) 312-8671
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1902647704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 16013
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2336 DAWSON RD STE 2200, Albany, GA 31707
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sujal Desai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587133939
PECOS Enrollment IDI20260515000464
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOEL JOHN KOSHY DO
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8878
SORAYA DJADJO
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8878
JOSEPH GERARD SONNTAG DO
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8797
JOSEPH MARIANO MD
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8800
SAPNA PATEL
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8671
DR. ANTWUAN ALLEN
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8871
TSVETELINA NIKOLOVA STOYANOVA
Family Medicine
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 313-8800
DR. AMANDA BRYSON WATTERS MD
Student in an Organized Health Care Education/Training Program
2336 DAWSON RD STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8798

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujal Desai's NPI number?

The NPI number for Sujal Desai is 1902647704. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Sujal Desai located?

Sujal Desai practices at 2336 Dawson Rd Ste 2200, Albany, GA 31707. The listed phone number is (229) 312-8671.

What is Sujal Desai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sujal Desai enrolled in Medicare?

Yes. Sujal Desai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sujal Desai was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.